[Answered]: 39 yo female a 1 week history of DOE, fatigue and…

39 yo female a 1 week history of DOE, fatigue and palpitations and reduced exercise tolerance. No orthopnea, PND, cough or wheezing. Palpitations do not follow any pattern. Denies any chest pain or syncope. Remainder of review is unremarkable. No significant past medical or family history. No medications or illicit substances. VSS PE is remarkable for CV: Regular rate and rhythm, Normal S1 and Split S2, III/VI holosystolic murmur best audible at the LUSB at the 2nd ICS. What congenital heart lesion may be present and which diagnostic study would you order to identify the lesion? Tetralogy of Fallot and angiogram Pulmonary stenosis and transesophageal echocardiogram. ASD and 2D or 3D transthoracic echocardiogram with agitated saline. Coarctation of the aorta and cardiac MRI